title: Psychiatric nursing staff members' reflections on participating in group-based clinical supervision: a semistructured interview study.
abstract: This paper is a report of an interview study exploring psychiatric hospital nursing staff members' reflections on participating in supervision. Clinical supervision is a pedagogical process designed to direct, develop, and support clinical nurses. Participation rates in clinical supervision in psychiatric settings have been reported to be relatively low. Qualitative research indicates that staff members appreciate clinical supervision, but paradoxically, do not prioritize participation and find participation emotionally challenging. Little is known about these contradictory experiences and how they influence participation rates. Twenty-two psychiatric hospital nursing staff members were interviewed with a semistructured interview guide. Interview transcripts were interpreted by means of Ricoeur's hermeneutic method. The respondents understood clinical supervision to be beneficial, but with very limited impact on their clinical practice. Neither management nor the staff effectively prioritized clinical supervision, which added to a downward spiral where low levels of participation undermined the potential benefits of clinical supervision. The respondents embraced and used alternative forums for getting emotional support among peers, but maintained that formalized supervision was the only forum for reflection that could solve the most difficult situations.
authors.affiliation: Institute of Public Health, University of Southern Denmark, Institute of Public Health, Odense C, Denmark. nbuus@health.sdu.dk
authors.forename: Niels
authors.initials: N
authors.lastname: Buus
authors.forename: Sanne
authors.initials: S
authors.lastname: Angel
authors.forename: Michael
authors.initials: M
authors.lastname: Traynor
authors.forename: Henrik
authors.initials: H
authors.lastname: Gonge
mesh_terms: D005260:Female; D006778:Hospitals, Psychiatric / Q000458:organization & administration; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000458:organization & administration; D010347:Patient Care Planning / Q000458:organization & administration; D010348:Patient Care Team / Q000458:organization & administration*; D011568:Psychiatric Nursing / Q000458:organization & administration*; D000078329:Workforce